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Marina Perris 《Psychoanalytic Psychotherapy》2013,27(1):18-34
This paper considers the benefits to the mental health of patients of the provision of psychological services in primary care. I describe by means of context, the development of such a service over the last 7 years. In the following section I discuss the question of who is 'the patient' who gets referred and who can benefit from psychological treatment in a primary care setting. More specifically I consider the spectrum of psychopathology of patients who are referred in primary care for psychological help and in relation to this question I discuss what would constitute a meaningful clinical intervention. In the last section, I look at the question of what needs to be in place for a successful psychological service in a primary care setting. I argue that, while benefits for mild to moderate psychological problems have been documented by research findings, clinical scrutiny of the interventions in primary care suggest that this is not necessarily the case when it comes to patients with more severe psychological problems. I further argue that there are still important issues to be considered and researched and structures to be put into place before we can safeguard the clinical effectiveness of psychological interventions in primary care. 相似文献
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ABSTRACTDevelopment of autobiographical memory is as a gradual process beginning in early childhood and continuing through late adolescence. Substantial attention has been paid to early childhood when first personal memories are formed; less attention has been focused on the flourishing of memories from the late preschool years onward. We addressed this void with a three-year cohort-sequential study of age-related changes in the length, completeness, and coherence of autobiographical narratives by children 4–10 years. We also examined the unique and combined variance in autobiographical narrative explained by children’s own language, maternal narrative style, domain-general cognitive abilities, non-autobiographical story recall, and memory-specific skills. There was substantial growth in autobiographical narrative skill across the 4–10-year period. Non-autobiographical story recall was a strong concurrent and cross-lagged predictor for all autobiographical narrative measures. Memory-specific and domain-general cognitive abilities systematically predicted narrative completeness and coherence but not length. Children’s language and maternal narrative style did not contribute additional variance when these predictors were considered. The findings highlight that age-related changes in autobiographical memory are the results of combined contributions of a variety of domain-general and domain-specific predictors. 相似文献
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Panel Report,IPA Congress Boston 2015: Metaphors and the use of analyst as tools to improve our clinical practisePanel and Small Discussion Group organized by: IPA Project Committee on Clinical Observation 下载免费PDF全文
Marina Altmann de Litvan 《The International journal of psycho-analysis》2015,96(6):1651-1654
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